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Patients with creatinine clearance 30 to 50 mlmin dosage adjustment may be needed. For concomitant use with potent cyp3a4 inhibitors, dose adjustment may be needed. Patients with creatinine clearance less than 30 mlmin or on hemodialysis for use as needed dose should not exceed 5 mg every 72 hours

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Physicians should inform patients that substantial consumption of alcohol (e. Cialis is not recommended in combination with alpha blockers for the treatment of bph because efficacy of the combination has not been adequately studied and because of the risk of blood pressure lowering

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Physicians should discuss increased risk of naion in patients with history of naion. Based on effectiveness and tolerability, your physician may recommend an increase to 20 mg or a decrease to 5 mg. . Cialis is not recommended in combination with alpha blockers for the treatment of bph because efficacy of the combination has not been adequately studied and because of the risk of blood pressure lowering

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Except, it is worth noting grapefruit juice can possibly affect the absorption of cialis (tadalafil). Patients should stop cialis and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non arteritic ischemic optic neuropathy (naion)

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Include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb for a complete list of less common side effects, please read the fda information to report suspected adverse reactions, contact eli lilly and company at 1-800-lillyrx () or fda at 1-800-fda-1088 or www

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Patients should not use cialis if sex is inadvisable, especially due to cardiovascular status. Cialis was show to potentiate the hypotensive effect of nitrates. For more information, please read the fda prescribing information use of cialis in any patient using any form of organic nitrate is contraindicated

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Physicians should discuss increased risk of naion in patients with history of naion. . Cialis has been shown to take effect in as little as 30 minutes. If taking potent inhibitors of cyp3a4, dose should be adjusted cialis for use as needed 10 mg every 72 hours

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